1982, 09-15 Permit: 82A-8247 Heat PumpPLAN NUMBER 10699 APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
k-/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. S. 3722 Rid eview Drive LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER
PHONE
g FORRY WALTER
926-7025
ADDRESS
ZIP
Actual Set Backs in Feet
S 3722 Rid eview Drive
99206
North south
CONTRACTOR
PHONE
Size of Parcel
Sturm Heating, Inc.
325-4505
4. ADDRESS
ZIP
Type Const.
Occupancy
E. 204 Indiana Spokane, Wa.
99207
DESIGNER
PHONE
Valuation
5. ADDRESS
ZIP
Main Floor
Upper Floors
CHANGE OF USE FROM
TO
Area of Decks
Finishe
6.
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area I Storage
asement Unfin. Basement
TYPEZNEW ALT. ❑ AD -N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellings
❑
7, OF ❑ OTHER
WORK I-] BLD. ElPLMB. MECH. ❑ M.H. EI CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8• I nstall Heat Pum
VALUA iON SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. 1UTILITPublic 11 Private ❑
IES
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law. ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
/�J/ /� 4.50
r)ATF nF APpi ICATInKI 9-9-$2 SI(;r\IATI IRF nF APPI Ir`ANT !/ �. e i J nJi_. _ ,/ I Mech. 1 fl nn
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
-�VlPERMIT NUMBER
:9Z -�
0l)* * 1 4.00
* 1 4,00
Y LL li:
824, C _n
09-15-F,2
. It7i,
Mobile Home
Other (Specify)
TOTAL $ 14'00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-115;-8'2 82il7z
*14OOaP' -